How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model

Winsper, Catherine; Crawford‐Docherty, Anne; Weich, Scott; Fenton, Sarah‐Jane; Singh, Swaran P.

doi:10.1016/j.cpr.2020.101815

Cited by 78 publications

(56 citation statements)

References 143 publications

(196 reference statements)

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“…These dimensional approaches refer to recovery ‘in’ (developing social roles despite illness) and recovery ‘from’ (symptom‐based remission) and also refer to external versus internal processes of recovery. More recently, Winsper et al (2020) used a tentative logic model to map out interventions and recovery outcomes, which they categorise as functional (e.g., Employment); existential (e.g., Self‐determination); and social (e.g., Citizenship roles). Core components of a successful recovery‐oriented mental health care service include fostering full participation, offering hope, engaging in holistic approaches and personalised interventions, emphasising mutual aid and peer support, increasing choice and promoting active citizenship (Leamy et al, 2011; Winsper et al, 2020).…”

Section: Mental Health Recovery – Historical Overviewmentioning

confidence: 99%

“…More recently, Winsper et al (2020) used a tentative logic model to map out interventions and recovery outcomes, which they categorise as functional (e.g., Employment); existential (e.g., Self‐determination); and social (e.g., Citizenship roles). Core components of a successful recovery‐oriented mental health care service include fostering full participation, offering hope, engaging in holistic approaches and personalised interventions, emphasising mutual aid and peer support, increasing choice and promoting active citizenship (Leamy et al, 2011; Winsper et al, 2020). Generally, mental health recovery is considered to be supported by practice that is process‐oriented, relational, person‐focused, community‐based and strength‐based.…”

Section: Mental Health Recovery – Historical Overviewmentioning

confidence: 99%

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Narrative Matters: Mental health recovery – considerations when working with youth

Khoury

2020

Child Adoles Ment Health

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Background Youth mental health and well‐being is of increasing concern to practitioners and policy‐makers. Youth experiencing mental health problems face many barriers in accessing care and often have different needs to those of adults experiencing mental health problems. In order to adequately respond to the needs of young people aged 12–25, it is necessary to understand, from their perspective, their diverse needs and their different realities, using a global health approach and through participation in the development of mental health services and care. There are documented difficulties in implementing a recovery‐oriented practice approach that have led to misapplications, misunderstandings and critiques. That said, there is little research or discussion on mental health recovery by and for young people and young adults. Purpose To help child and adolescent mental health practitioners better assess the pertinence of the mental health recovery model in their practice, a focus on the emergence of the model can be helpful in order to adapt the current conceptions of mental health recovery for work with youth. Conclusion Child and adolescent mental health professionals might want to consider the following three suggestions – consider developmental processes, focus on hope and create strong community ties.

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Section: Mental Health Recovery – Historical Overviewmentioning

confidence: 99%

Section: Mental Health Recovery – Historical Overviewmentioning

confidence: 99%

Narrative Matters: Mental health recovery – considerations when working with youth

Khoury

2020

Child Adoles Ment Health

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“…Entrenched traditional models of care in MHS are being reorganized to re-orient the service ethos towards the promotion of hope and self-determination, and strengthen competencies in developing egalitarian partnerships and co-production [ 3 ]. In some countries significant investment into developing, implementing and evaluating pro-recovery interventions has ensued including peer support services, advanced directives, Wellness Recovery Action Plans (WRAP), illness management and recovery programs (IMR) and so on [ 4 , 5 ]. A progressive portfolio of empirical research examining service and client outcomes, such as efficacy, efficiency, safety, and acceptability, have emerged to inform consensus appraisal of evidence-based practice and the development of intervention manuals and best practice guides.…”

Section: Introductionmentioning

confidence: 99%

Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research

Higgins

Murphy

Downes

et al. 2020

BMC Health Serv Res

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Background Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family members has not been achieved. To enhance translation, developing an evidence-base around the factors that influence implementation of interventions is critical. Methods The aim of the study was to explore the factors influencing implementation of a group cofacilitated recovery focused psychoeducation intervention. The study design was explorative qualitative descriptive, involving the collection of data through individual and focus group interviews with key stakeholders (n = 75) involved with the implementation within 14 mental health sites in the Republic of Ireland. The Consolidation Framework for Implementation Research (CFIR) was used as a conceptual framework to guide data collection and analysis. Results Key enablers and barriers were identified across all CFIR domains of the framework with some factors (depending on context) being both an enabler and a barrier. Important factors in the outer setting domain included structural stability within national systems and the peer payment system, while the extent of a recovery-oriented culture, leadership, implementation readiness, and buy-in were influential factors in the inner setting. The characteristics of the intervention in terms of design, evidence-base and adaptability also shaped the intervention’s implementation as did the knowledge, beliefs and self-efficacy of facilitators. In terms of processes, implementation was influenced by the degree of engagement of key individuals who championed and supported the programme. The results highlight that while some of the barriers were specific to the programme, many reflected systemic and structural challenges within health services more generally. Conclusion Findings from this study provide an enhanced understanding of the different layers of determinants to implementation of an intervention. Overcoming challenges will involve positive and ongoing engagement and collaboration across the full range of stakeholders that are active within each domain, including policy and operational levels. The quality of leadership at each domain level is of crucial importance to successful implementation.

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“…Entrenched traditional models of care in MHS are being reorganized to re-orient the service ethos towards the promotion of hope and self-determination, and strengthen competencies in developing egalitarian partnerships and co-production [3]. In some countries signi cant investment into developing, implementing and evaluating pro-recovery interventions has ensued including peer support services, advanced directives, Wellness Recovery Action Plans (WRAP), illness management and recovery programs (IMR) and so on [4][5]. A progressive portfolio of empirical research examining service and client outcomes, such as e cacy, e ciency, safety, and acceptability, have emerged to inform consensus appraisal of evidence-based practice and the development of intervention manuals and best practice guides.…”

Section: Introductionmentioning

confidence: 99%

Factors Impacting the Implementation of a Psychoeducation Intervention Within the Mental Health System: a Multisite Study Using the Consolidation Framework for Implementation Research

Higgins

Murphy

Downes

et al. 2020

Preprint

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Background Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family members has not been achieved. To enhance translation, developing an evidence-base around the factors that influence implementation of interventions is critical.Methods The aim of the study was to explore the factors influencing implementation of a group cofacilitated recovery focused psychoeducation intervention. The study design was explorative qualitative descriptive, involving the collection of data through individual and focus group interviews with key stakeholders (n=75) involved with the implementation within 14 mental health sites in the Republic of Ireland. The Consolidation Framework for Implementation Research (CFIR) was used as a conceptual framework to guide data collection and analysis. Results Key enablers and barriers were identified across all CFIR domains of the framework with some factors (depending on context) being both an enabler and a barrier. National policy; structural stability with national systems; leadership at all levels; peer payment system; local champions and support from multidisciplinary team members; evidence strength and quality of the programme design; availability of resources; referral pathways; knowledge, beliefs and self-efficacy of facilitators, as well as local culture influenced implementation. While some were specific to the programme, many barriers reflected systemic and structural challenges within health services more generally. Conclusion: Findings from this study provide an enhanced understanding of the different layers of determinants to implementation of an intervention. Overcoming challenges will involve positive and ongoing engagement and collaboration across the full range of stakeholders that are active within each domain, including policy and operational levels. The quality of leadership at each domain level is of crucial importance to successful implementation.

show abstract

How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model

Cited by 78 publications

References 143 publications

Narrative Matters: Mental health recovery – considerations when working with youth

Narrative Matters: Mental health recovery – considerations when working with youth

Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research

Factors Impacting the Implementation of a Psychoeducation Intervention Within the Mental Health System: a Multisite Study Using the Consolidation Framework for Implementation Research

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